| NPI | 1376848721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 2210) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC0006279) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2022-09-08 |